Evidence map›Paper›PMID 39526477›Full record

ArticlePublic health nutrition2024

Estimating food consumption, micronutrient intake and the contribution of large-scale food fortification to micronutrient adequacy in Tanzania.

Rie Goto, Liberty Mlambo, Lucia Segovia De La Revilla, Aleswa Swai, Hoyce Mshida, Alex Amos, Emilian Karugendo, Gareth Osman, Kevin Tang, Thomas Codd and 11 more

Abstract read
In one paragraph

Article in Public health nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Rie GotoFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Liberty MlamboSchool of Biosciences, University of Nottingham, Loughborough, UK.
Lucia Segovia De La RevillaFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Aleswa SwaiTanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.
Hoyce MshidaTanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.
Alex AmosTanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.
Emilian KarugendoNational Bureau of Statistics, Ministry of Finance & Planning, Dodoma, Tanzania.
Gareth OsmanDepartment of Human Nutrition and Health, Bunda College, Lilongwe University of Agriculture and Natural Resources, Lilongwe, Malawi.
Kevin TangFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Thomas CoddSchool of Biosciences, University of Nottingham, Loughborough, UK.ORCID 0000-0002-4992-0591
Christopher ChagumairaSchool of Biosciences, University of Nottingham, Loughborough, UK.
Elaine L FergusonFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-4673-5128
E Louise AnderSchool of Biosciences, University of Nottingham, Loughborough, UK.ORCID 0000-0003-3901-1949
Theresia JumbeUSAID Advancing Nutrition, Dar es Salaam, Tanzania.
Ray MasumoTanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.
Omar DaryUSAID, Bureau for Global Health, Washington, DC, USA.
Jennifer YourkavitchUSAID Advancing Nutrition, Arlington, VA, USA.ORCID 0000-0002-7701-1918
Sarah PedersenBureau for Resilience, Environment, and Food Security, USAID, Washington, DC, USA.
Germana H LeynaTanzania Food and Nutrition Centre, Dar es Salaam, Tanzania.
Monica WoldtUSAID Advancing Nutrition, Arlington, VA, USA.
Edward Jm JoyFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.

Funding

Bill & Melinda Gates Foundation INV-002855
6 · The paper itself

Abstract

objectiveTo assess the potential contribution of large-scale food fortification (LSFF) towards meeting dietary micronutrient requirements in Tanzania.

designWe used household food consumption data from the National Panel Survey 2014-15 to estimate fortifiable food vehicle coverage and consumption (standardised using the adult female equivalent approach) and the prevalence at risk of inadequate apparent intake of five micronutrients included in Tanzania's fortification legislation. We modelled four LSFF scenarios: no fortification, status quo (i.e. compliance with current fortification contents) and full fortification with and without maize flour fortification.

settingTanzania.

participantsA nationally representative sample of 3290 Tanzanian households.

resultsThe coverage of edible oils and maize and wheat flours (including products of wheat flour and oil such as bread and cakes) was high, with 91 percent, 88 percent and 53 percent of households consuming these commodities, respectively. We estimated that vitamin A-fortified oil could reduce the prevalence of inadequate apparent intake of vitamin A (retinol activity equivalent) from 92 percent without LSFF to 80 percent with LSFF at current fortification levels. Low industry LSFF compliance of flour fortification limits the contribution of other micronutrients, but a hypothetical full fortification scenario shows that LSFF of cereal flours could substantially reduce the prevalence at risk of inadequate intakes of iron, zinc, folate and vitamin B

conclusionsThe current Tanzania LSFF programme likely contributes to reducing vitamin A inadequacy. Policies that support increased compliance could improve the supply of multiple nutrients, but the prominence of small-scale maize mills restricts this theoretical benefit.

Indexed as

FlourFood, FortifiedMicronutrientsAdolescentAdultChildChild, PreschoolDietFamily CharacteristicsFemaleHumansMaleMiddle AgedNutritional RequirementsNutritional StatusTanzaniaMicronutrientsVitamin AHousehold consumption and expenditure surveyLarge-scale food fortificationMicronutrient adequacyTanzania

Identifiers

PMID39526477
PMCPMC11645117

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.